Spinal tuberculosis usually develops initially in the intervertebral space, and later abscesses collect and destroy the vertebral body, attachments, and enter the spinal canal to compress the spinal cord, nerves, etc., causing pain and paralysis. Once this is detected, it should be treated actively. 1, generally pain-based, no bone destruction, to take oral anti-TB drugs, rest, warmth, nutrition and other conservative treatment. If the pain and fever cannot be controlled by oral medication, the bone destruction is not very obvious and there are no symptoms of paralysis, minimally invasive surgery can be considered, and minimally invasive lesion removal surgery is generally effective. 3.If there is more bone destruction, obvious pain or serious deformity, then decompression, lesion removal, orthopedic and fixed fusion surgery is needed. 4.If the abscess is larger, with more pus, and conservative treatment is ineffective, incision and drainage surgery can be chosen. Pay attention to timely medical consultation, according to the specific situation of the patient, and reasonably choose the treatment plan in order to achieve better treatment results.